BROOKHAVEN DIABETES AND PRIMARY CARE CLINIC
NPI 1275321754
Nurse Practitioner - Family in Brookhaven, MS
About Brookhaven Diabetes And Primary Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKHAVEN DIABETES AND PRIMARY CARE CLINIC (NPI 1275321754) is a healthcare organization registered as a family in Brookhaven, Mississippi and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Amy Katheryn Case, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2332015
Brookhaven Diabetes & Primary Care Clinic · Brookhaven, MSOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brookhaven Diabetes And Primary Care Clinic's NPI number?
The NPI number for Brookhaven Diabetes And Primary Care Clinic is 1275321754. It was assigned to this organization in the NPPES registry on April 25, 2025. The provider is also known as Brookhaven Diabetes & Primary Care.
Where is Brookhaven Diabetes And Primary Care Clinic located?
Brookhaven Diabetes And Primary Care Clinic is located at 317 Jakes Trl NW, Brookhaven, MS 39601. The listed phone number is (601) 320-1246.
What is Brookhaven Diabetes And Primary Care Clinic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Brookhaven Diabetes And Primary Care Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2332015) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Brookhaven Diabetes And Primary Care Clinic was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brookhaven Diabetes And Primary Care Clinic · NPI 1275321754
Family organization in Brookhaven, Mississippi. Organization record, active in the CMS NPPES registry since April 25, 2025.
## Identity
- **NPI:** 1275321754 (Entity type: Organization)
- **Enumerated:** April 25, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Brookhaven Diabetes & Primary Care (Other Name)
- **Organization subpart:** No
- **Authorized official:** Amy Case, OWNER
## Practice location
- **Address:** 317 JAKES TRL NW, Brookhaven, MS 39601-8632
- **Phone:** (601) 320-1246
## Record status
- **NPPES last updated:** February 18, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1275321754) · Data from the CMS NPPES public registry.